15584 (SATT)44Q
P.O. BOX 1504 No. 15584
Building 78-495 CALLE TAMPICO
Address 45--175 Via Valiarta LA OUINTA, CALIFORNIA 92253
OwnerT.Dw Desert i)ev-°iopmen
Mailing
Address P.O. Box 1716
CityZip Tel.
La Quinta, CR 92253 1(619)771-19-41
Contractor Moil manager
S;aarks Construction. Inc.
Address
P.O. Box 1716
%a &uinta., CAI--- 92253 (6.19) 771-1941
State Lic. . City
& Classif. S 674074 1 Lic. # 2996
Designer Pi'karek Grandell Inc.
A�5,V�2 Dirtcher Drive 7114}837-9059
City Zip State
Luke Foyres* , 926 313 Lic. #
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmlhat ham licensed under provisions of Chapter 9 (commencing with+Section
7000) -of Division 3 of the Business nd Professions Code, and my license is in full Jorge and
effect./` p }!
SIGNATURE "•r%�\ N t f.... m'.. -y �.. n. e...--tbld �:. R. ..r:,r,rf R� t - DATE
OWNER -BUILDER DECLARATION
I hereby affirm that I am exempt from the Contractors License Law for the following
reason: (Sec. 7031.5,Buslness and Professions Code: Any city or county which requires a
permit to construct, alter, Improve, demolish, or repair any structure, prior to its issuance also
requires the applicant for such permit to rile a signed statement that he is licensed pursuant to
the provisions of the Contractor's License Law, Chapter 9 (commencing with Section 7000) or
Division 3 of the Business and Professions Code, or that. he is exempt therefrom, and the basis
for the alleged exemption. Any violation of Section 7031.5 by 'any applicant for a permit
subjects the applicant to a civil penalty of not more than five hundred dollars ($500).
❑ .I, as owner of the property, or my employees with wages as their sole compensation, will
do the work, and the structure is not intended or offered for sale. (Sec. 7044, Buisness and
Professions Code: The Contractor's- License Law does not apply to an owner of property who
builds or Improves thereon and who does such work himself or through his own employees,
provided that such Improvements are not intended or offered for sale. If, however, the building
or improvement is sold within one year of completion, the owner -builder will have the burden
of proving that he did not build or improve for the purpose of sale.)
❑ I, as owner of the property, am exclusively contracting with licensed contractors to con-
struct the project. (Sec. 7044, Business and .Professions Code: The Contractor's License Law
does not apply to an owner of property who builds or Improves thereon, and who contracts for
such projects with a contractor(s) Licensed pursuant to the Contractor's License Law.)
❑ 1 am exempt under Sec. B. & P.C. for this reason
Date Owner
WORKERS' COMPENSATION DECLARATION
I hereby affirm that I have a certificate of consent to self -insure, or a certificate of
Worker's Compensation Insurance, or a certified copy thereof. (Sec. 3800, Labor Code.) ,
Po1�C'A0. Company
l
0, Copy is filed with the city. ❑ Certified copy is -hereby furnished.
CERTIFICATE OF EXEMPTION FROM
WORKERS' COMPENSATION INSURANCE
(This section need not be completed If the permit is for one hundred dollars ($100) valuation
or less.)
I certify that in the performance of thg work for which this permit is issued, I shall not
employ anyperson in any manner so as to become subject to the Workers' Compensation
Laws of California.
Date Owner
NOTICE TO APPLICANT., d, alter making this Certificate of Exemption you should become
subject to the Workers' Compensation provisions of the Labor Code, you must .forthwith
comply with such provisions or this permit shall be deemed revoked.
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND
SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE
HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION,
DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND
ATTORNEY'S FEES.
This is a building permit when properly filled out, signed and validated, and'is subject to
expiration it work thereunder is suspended for 180 days.
I certify that I have read this application and state that the above information is correct.
I agree to comply with all city and county ordinances and state laws relating to building
construction, and hereby authorize representatives -of .this city to enter the above-.
mentioned property for inspection purposes.
Signature of applicant Date
Mailing Address
City, State, Zip
11LDING: TYPE CONST. VN OCC. GRP.:
P. Number 649-30-001
0-001
igal Description Lot 1 Tract 27935
Project Description SPA OOasitas* Duplex Plan B
Rancho La Arai alta.
Sq. Ft. 1967 No. No. Dw.
Size Stories Units
New ❑ Add ❑ Alter ❑ Repair ❑ Demolition"❑
Estimated Valuation $165,192:00
R3
PERMIT -
AMOUNT
Plan Chk. Dep.
Plan Chk. Bal.
713.98
Const.
Mech.
75.W
Electrical
141.29
Plumbing
150.00
S.M.I.
16.52
Grading
20.00
Driveway Enc.
00
Infrastructure
3,644.79
Arts in Public Places
1.62.96
Validation:
TOTAL
5,795.04
REMARKS
ZONE:
BY:
Minimum Setback Distances:
Front Setback from Center.Line
- Rear Setback from Rear Prop. Line
Side Street Seth ck-from Center Line
Side Setback,,fr//orn Property Line
. .
/r
FINAL DATE
/, INSPECTOR
Issued by:
��- Date "�> ^ Permit
1 ` 1 ) s
Validated by:
�•'_�
Validation:
CONSTRUCTION ESTIMATE
NO. ELECTRICAL FEES
NO. PLUMBING. FEES
IST FL. SO. FT. ® $
2ND FL. SO. FT. p
POR. SO. FT. ®
GAR. SO. FT. ®
CARP. SO. FT. ®'
WALL SO. FT.
SO. FT. ®
ESTIMATED CONSTRUCTION VALUATION _ $
UNITS
MOBILEHOME SVC.
POWER OUTLET
YARD SPKLR SYSTEM
BAR SINK
ROOF DRAINS
DRAINAGE PIPING
DRINKING FOUNTAIN.
URINAL
WATER PIPING
NOTE: Not to be used as property tax valuation
B GRADE (�/ J • S
,OeAFORMS
FLOOR DRAIN
MECHANICAL FEES
BONDING
WATER SOFTENER
VENT SYSTEM FAN EVAP.0OOL HOOD
SIGN
WASH ER(AUTO)(DISH)
APPLIANCE DRYER
GARBAGE DISPOSAL
FURNACE UNIT WALL FLOOR SUSPENDED
DUCT WORK
LAUNDRYTRAY
AIR HANDLING UNIT CFM
(ROUGH)
KITCHEN SINK
ABSORPTION SYSTEM B.T.U.
TEMP USE PERMIT SVC
WATER CLOSET'
COMPRESSOR HP
POLE, TEMIPERM
LAVATORY
HEATING SYSTEM FORCED GRAVITY
AMPERES SERV ENT
SHOWER
BOILER B.T.U.
SO. FT. ®c
BATH TUB
WATER HEATER
SO. FT. ® c
WATER HEATER
MAX. HEATER OUTPUT, B.T.U.
SO. FT. RESID ® 11/4 c
SEWAGE DISPOSAL
BOND BEAM
SO.FT.GAR ® 3/<c
HOUSE SEWER
'=F
GAS PIPING
PERMIT FEE
PERMIT FEE
PERMIT FEE
DBL
TOTAL FEES
MICRO FEE
MECH.FEE PL.CK.FEE
CONST. FEE ELECT. FEE
SMI FEE PLUMB. FEE
STRUCTURE PLUMBING ELECTRICAL HEATING & AIR COND. SOLAR
SETBACK
ROUND PLUMBI
j4?
UNDERGROUND
A.C. UNIT
COLL. AREA
B GRADE (�/ J • S
,OeAFORMS
ROUGH PLUMB.
BONDING
HEATING (ROUGH)
STORAGE TANK
EWE OR SEPTI
ROUGH WIRING -
DUCT WORK
ROCK STORAGE
FOUND. REINF.✓' 3_ N S
G
(ROUGH)
METER LOOP
HEATING (FINAL)
OTHER APPJEOUIP.
REINF. STEEL
GAS (FINAL)
TEMP. POLE
GROUT
WATER HEATER
SERVICE
FINAL INSP.
BOND BEAM
WATER SYSTEM
$
GRADING
cu. yd.
plus x$
_ $
LUMBER GR.
FINAL INSP.
^
AMING//v�
FINAL INSP.
"Q'J --
OFING 7P S
V
/
ve
REMARKS:
VENTILATION
FIRE ZONE ROOFING'
FIREPLACE
SPARK ARRESTOR
GAR. FIREWALL
THING
MESH
I SOLATION/SOUND �f
<
FINISH GRADING
INAL INSPECTION
J
CERT. OCC.
FENCE FINAL
INSPECTOR'S SIGNATURESIINITIALS
GARDEN WALL FINAL